Medical-Surgical Nursing, 6th Edition by Holly Stromberg
Medical-Surgical Nursing, 6th Edition by Holly Stromberg
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
Chapter 1: Caring for Medical-Surgical Patients
1. A newly licensed LPN/LVN is orienting to a medical-surgical unit. Which
statement by the new nurse indicates a correct understanding of the LPN/LVN
scope of practice?
A. "I can independently develop the initial nursing care plan for a newly admitted
patient."
B. "I can delegate tasks to the RN and assistive personnel as needed."
C. "I can reinforce teaching initiated by the RN and contribute to the care plan."
D. "I am legally responsible for performing invasive procedures without
supervision."
Answer: C. I can reinforce teaching initiated by the RN and contribute to the care
plan.
Rationale: The LPN/LVN functions under the supervision of an RN or physician.
The LPN contributes to the nursing process—collecting data, implementing
interventions, reinforcing teaching, and contributing to care plans—but does not
,perform initial assessments or develop initial care plans independently.
Delegation flows from RN to LPN, not the reverse .
2. A patient asks the LPN/LVN, "What does 'evidence-based practice' mean?"
Which response is most accurate?
A. "It means following traditions and customs passed down by experienced
nurses."
B. "It means using the latest technology available in the healthcare setting."
C. "It means integrating the best current research evidence with clinical expertise
and patient preferences."
D. "It means following physician orders without question or modification."
Answer: C. It means integrating the best current research evidence with clinical
expertise and patient preferences.
Rationale: Evidence-based practice (EBP) is the conscientious integration of three
key elements: (1) best available research evidence, (2) clinical expertise, and (3)
patient values and preferences. This approach improves patient outcomes and is
a standard of professional nursing practice .
,3. The LPN/LVN is caring for a patient who practices a faith that includes specific
dietary restrictions. Which action best demonstrates culturally competent care?
A. Telling the patient they must follow the facility's standard menu
B. Ignoring the dietary restriction as it does not affect medical treatment
C. Notifying dietary services and the RN about the patient's dietary needs
D. Asking the family to bring food from home without involving dietary staff
Answer: C. Notifying dietary services and the RN about the patient's dietary needs
Rationale: Culturally competent care requires respecting and accommodating
patient beliefs and practices whenever medically possible. The LPN should
collaborate with the healthcare team (RN, dietary services) to ensure appropriate
meal modifications while maintaining safety and nutrition standards .
4. A patient has Medicare as primary insurance. The LPN understands that
Medicare:
A. Covers all healthcare costs with no out-of-pocket expenses for beneficiaries
B. Is a federal health insurance program primarily for adults age 65 and older
C. Is administered individually by each of the 50 states
D. Only covers hospital care and never covers outpatient services
, Answer: B. Is a federal health insurance program primarily for adults age 65 and
older
Rationale: Medicare is a federal health insurance program established in 1965,
primarily serving adults aged 65 and older, as well as younger individuals with
certain disabilities or end-stage renal disease. It includes Part A (hospital
insurance), Part B (medical insurance), Part D (prescription drug coverage), and
Medicare Advantage (Part C) options .
5. A patient tells the LPN, "I want to try acupuncture for my chronic back pain
along with my pain medications." Which response by the LPN is most
appropriate?
A. "You should not combine alternative therapies with conventional medicine."
B. "Acupuncture is not covered by insurance, so you should avoid it."
C. "I will document this and discuss it with the RN so we can integrate it safely
into your care plan."
D. "Alternative medicine has no scientific basis and is a waste of money."
Answer: C. I will document this and discuss it with the RN so we can integrate it
safely into your care plan.
Medical-Surgical Nursing, 6th Edition by Holly Stromberg
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
Chapter 1: Caring for Medical-Surgical Patients
1. A newly licensed LPN/LVN is orienting to a medical-surgical unit. Which
statement by the new nurse indicates a correct understanding of the LPN/LVN
scope of practice?
A. "I can independently develop the initial nursing care plan for a newly admitted
patient."
B. "I can delegate tasks to the RN and assistive personnel as needed."
C. "I can reinforce teaching initiated by the RN and contribute to the care plan."
D. "I am legally responsible for performing invasive procedures without
supervision."
Answer: C. I can reinforce teaching initiated by the RN and contribute to the care
plan.
Rationale: The LPN/LVN functions under the supervision of an RN or physician.
The LPN contributes to the nursing process—collecting data, implementing
interventions, reinforcing teaching, and contributing to care plans—but does not
,perform initial assessments or develop initial care plans independently.
Delegation flows from RN to LPN, not the reverse .
2. A patient asks the LPN/LVN, "What does 'evidence-based practice' mean?"
Which response is most accurate?
A. "It means following traditions and customs passed down by experienced
nurses."
B. "It means using the latest technology available in the healthcare setting."
C. "It means integrating the best current research evidence with clinical expertise
and patient preferences."
D. "It means following physician orders without question or modification."
Answer: C. It means integrating the best current research evidence with clinical
expertise and patient preferences.
Rationale: Evidence-based practice (EBP) is the conscientious integration of three
key elements: (1) best available research evidence, (2) clinical expertise, and (3)
patient values and preferences. This approach improves patient outcomes and is
a standard of professional nursing practice .
,3. The LPN/LVN is caring for a patient who practices a faith that includes specific
dietary restrictions. Which action best demonstrates culturally competent care?
A. Telling the patient they must follow the facility's standard menu
B. Ignoring the dietary restriction as it does not affect medical treatment
C. Notifying dietary services and the RN about the patient's dietary needs
D. Asking the family to bring food from home without involving dietary staff
Answer: C. Notifying dietary services and the RN about the patient's dietary needs
Rationale: Culturally competent care requires respecting and accommodating
patient beliefs and practices whenever medically possible. The LPN should
collaborate with the healthcare team (RN, dietary services) to ensure appropriate
meal modifications while maintaining safety and nutrition standards .
4. A patient has Medicare as primary insurance. The LPN understands that
Medicare:
A. Covers all healthcare costs with no out-of-pocket expenses for beneficiaries
B. Is a federal health insurance program primarily for adults age 65 and older
C. Is administered individually by each of the 50 states
D. Only covers hospital care and never covers outpatient services
, Answer: B. Is a federal health insurance program primarily for adults age 65 and
older
Rationale: Medicare is a federal health insurance program established in 1965,
primarily serving adults aged 65 and older, as well as younger individuals with
certain disabilities or end-stage renal disease. It includes Part A (hospital
insurance), Part B (medical insurance), Part D (prescription drug coverage), and
Medicare Advantage (Part C) options .
5. A patient tells the LPN, "I want to try acupuncture for my chronic back pain
along with my pain medications." Which response by the LPN is most
appropriate?
A. "You should not combine alternative therapies with conventional medicine."
B. "Acupuncture is not covered by insurance, so you should avoid it."
C. "I will document this and discuss it with the RN so we can integrate it safely
into your care plan."
D. "Alternative medicine has no scientific basis and is a waste of money."
Answer: C. I will document this and discuss it with the RN so we can integrate it
safely into your care plan.
